机器人辅助甲状腺癌颈侧区淋巴结清扫术可避免颈部大切口，在保护颈部外观的同时兼具三维高清视野、稳定扶镜和内关节器械精细操作等优势，较传统开放或腔镜手术更适合完成复杂侧颈部淋巴结清扫。由于侧方清扫范围广、解剖结构复杂、并发症防控要求高，术者需在充分掌握入路特点和区域解剖的基础上建立标准化操作流程。基于548例双侧腋窝乳晕入路（BABA）机器人辅助甲状腺癌颈侧区淋巴结清扫的临床实践，标准化流程主要包括充分皮瓣游离、颈侧方各区域显露以及Ⅱ、Ⅲ、Ⅳ区淋巴脂肪组织分区清扫。操作中应规范显露并保护胸锁乳突肌、颈内静脉、迷走神经、副神经、胸导管及膈神经等重要结构，重点处理Ⅳ区低位淋巴结、Ⅲ区颈内静脉分支和Ⅱ区狭小术野等技术难点。围绕入路选择、清扫顺序、术野维持、神经血管保护及并发症预防形成可重复的操作策略，有助于提升机器人辅助甲状腺癌颈侧区淋巴结清扫的安全性、彻底性和规范化水平。

Robot-assisted lateral neck dissection for thyroid cancer can avoid a large cervical incision and preserve neck appearance while offering advantages over traditional open or endoscopic surgery in completing complex lateral neck lymph node dissection, with three-dimensional high-definition vision, stable camera control, and refined manipulation with articulated instruments. Because lateral neck dissection involves a broad operative field, complex anatomy, and demanding complication control, a standardized procedure based on a clear understanding of the approach and regional anatomy is essential. Based on 548 cases of robotic lateral neck lymph node dissection for thyroid cancer via the bilateral axillo-breast approach (BABA), the procedure mainly includes adequate flap dissection, exposure of the lateral neck compartments, and compartment-oriented dissection of lymphatic-fatty tissue in levels Ⅱ, Ⅲ, and Ⅳ. Critical steps include standardized exposure and protection of the sternocleidomastoid muscle, internal jugular vein, vagus nerve, accessory nerve, thoracic duct, and phrenic nerve, with particular attention to low level Ⅳ lymph nodes, branches of the internal jugular vein in level Ⅲ, and the narrow operative field in level Ⅱ. Reproducible strategies for approach selection, dissection sequence, field maintenance, neurovascular protection, and complication prevention may improve the safety, completeness, and standardization of robotic lateral neck dissection for thyroid cancer.